Background. Caesarean delivery can be associated with considerable postoperative pain. While the benefits of transversus\nabdominis plane (TAP) and ilioinguinal-iliohypogastric (II-IH) nerve blocks on pain after caesarean delivery via Pfannenstiel\nincision have been demonstrated, no enough investigations on the comparison of these blocks on pain after caesarean delivery\nhave been conducted in our setup. Method. An institutional-based prospective observational cohort study was conducted to\ncompare the analgesic efficacy of those blocks. We observed 102 postoperative parturients. The outcome measure was the severity\nof pain measured using a numeric rating scale. Result. Twenty-four hours after surgery, the NRS score at rest was (0.90 �± 0.80)\nversus (0.67 �± 0.58) and at movement (1.2 �± 1.07) versus (0.88 �± 0.76) for the TAP and II-IH groups, respectively. Twenty-four\nhours after surgery, the mean tramadol consumption was (55.45 �± 30.51) versus (37.27 �± 27.09) mg in TAP and II-IH groups,\nrespectively (p 0.009). The mean first analgesic requirement time was also prolonged in the II-IH group. Conclusion and\nRecommendations. There was no statically significant difference between TAP and II-IH blocks regarding postoperative pain\nscore, but the II-IH block significantly reduced the total tramadol consumption and prolonged the time to first analgesic request\nthan TAP. Thus, we recommend the II-IH nerve block.
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